NPI | 1770563397 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: WA MD00033571) |
Additional Taxonomies | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: CA GFE72717) |
207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: ME 017273) | |
207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: ID M-11044) | |
Enumeration Date | 2006-01-19 |
Last Update Date | 2014-08-19 |