NPI | 1609889815 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A679460) |
Additional Taxonomies | 208D00000X General Practice (Licence: CA A679460) |
Enumeration Date | 2006-08-15 |
Last Update Date | 2023-03-07 |