NPI | 1841248143 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA G38676) |
Additional Taxonomies | 174400000X Specialist (Licence: CA G38676) |
Enumeration Date | 2006-05-05 |
Last Update Date | 2021-03-31 |