NPI | 1922070242 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A96192) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0101056144) |
Enumeration Date | 2006-02-02 |
Last Update Date | 2022-10-25 |