NPI | 1972858678 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: CA A127617) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A127617) |
207V00000X Obstetrics & Gynecology (Licence: OR MD176718) | |
Enumeration Date | 2012-07-18 |
Last Update Date | 2022-07-21 |