| NPI | 1215036215 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: CA A50980) |
| Additional Taxonomies | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: CA A50980) |
| 207V00000X Obstetrics & Gynecology (Licence: CA A50980) | |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2022-11-17 |