NPI | 1972578896 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: CA G46081) |
Additional Taxonomies | 174400000X Specialist (Licence: CA G46081) |
Enumeration Date | 2006-02-22 |
Last Update Date | 2015-01-28 |