NPI | 1760407787 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A8432) |
Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: CA 20A8432) |
Enumeration Date | 2006-07-12 |
Last Update Date | 2015-11-18 |