| NPI | 1043355910 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA C153890) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MD P21275) |
| 207V00000X Obstetrics & Gynecology (Licence: MD D0069607) | |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2018-03-14 |