| NPI | 1043389513 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A88082) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TN 41480) |
| 207V00000X Obstetrics & Gynecology (Licence: MO 2008012529) | |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2023-02-08 |