NPI | 1588784508 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A47748) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A47748) |
Enumeration Date | 2007-03-31 |
Last Update Date | 2008-05-01 |