| NPI | 1124006838 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A66694) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NV 10674) |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2023-11-02 |