NPI | 1598735391 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: ID M-4462) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA D93712) |
Enumeration Date | 2006-01-24 |
Last Update Date | 2022-01-06 |