| NPI | 1194756825 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A36925) |
| Additional Taxonomies | 207VB0002X Obstetrics & Gynecology Obesity Medicine (Licence: CA A36925) |
| 207VX0000X Obstetrics & Gynecology Obstetrics (Licence: CA A36925) | |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2024-04-03 |