| NPI | 1184736589 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: CA A60633) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A60633) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2013-06-29 |