NPI | 1780780577 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A47957) |
Additional Taxonomies | 174400000X Specialist (Licence: CA A47957) |
Enumeration Date | 2006-09-16 |
Last Update Date | 2024-01-12 |