| NPI | 1245322908 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA G84828) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: UT 9889680-1205) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2023-12-06 |