NPI | 1861423121 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: CA G23444) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA G23444) |
Enumeration Date | 2006-07-05 |
Last Update Date | 2012-02-27 |