| NPI | 1144265463 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: OR MD171685) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology Obstetrics (Licence: CA A87014) |
| 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: CA A87014) | |
| 207VX0000X Obstetrics & Gynecology Obstetrics (Licence: OR MD171685) | |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2015-05-28 |