| NPI | 1053529404 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: CA A109934) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: MI 4301076239) |
| 174400000X Specialist (Licence: CA A109934) | |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2025-01-23 |