| NPI | 1235174822 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: CA A49510) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A0495) |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2019-01-18 |