| NPI | 1114164449 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: CA A107315) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA n/a) |
| Enumeration Date | 2009-01-08 |
| Last Update Date | 2021-12-08 |