| NPI | 1073562203 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA G31595) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA G31595) |
| Enumeration Date | 2006-05-06 |
| Last Update Date | 2024-01-09 |