NPI | 1871652859 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: CA 20A3175) |
Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: CA 20A3175) |
Enumeration Date | 2006-12-06 |
Last Update Date | 2007-07-08 |