| NPI | 1275533184 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: ID M-10480) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA G59548) |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2014-08-07 |