NPI | 1538197876 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MD D80816) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA G40092) |
Enumeration Date | 2006-06-28 |
Last Update Date | 2017-11-13 |