| NPI | 1154305977 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: CA C160063) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TN 49823) |
| 207V00000X Obstetrics & Gynecology (Licence: CA C160063) | |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: TN 49823) | |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2019-03-08 |