| NPI | 1104272814 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A168645) |
| Additional Taxonomies | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: CA A168645) |
| 2083C0008X Preventive Medicine, Clinical Informatics Specialist (Licence: CA A168645) | |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2025-11-13 |