NPI | 1497822902 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA G67887) |
Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: CA G67887) |
Enumeration Date | 2006-11-29 |
Last Update Date | 2008-06-04 |