NPI | 1538194337 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A062804) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA a62804) |
Enumeration Date | 2006-07-11 |
Last Update Date | 2012-02-13 |