NPI | 1518059880 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: CA G89220) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA G89220) |
207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: GA 032519) | |
Enumeration Date | 2006-09-28 |
Last Update Date | 2024-04-19 |