NPI | 1932166527 |
---|---|
Other Name | JACK M FITZSIMMONS |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: PA MD018416E) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD018416E) |
Enumeration Date | 2006-04-27 |
Last Update Date | 2020-06-17 |