NPI | 1992746002 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO DR.0053014) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A00067848) |
Enumeration Date | 2006-06-09 |
Last Update Date | 2018-06-06 |