| NPI | 1295880995 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA G58499) |
| Additional Taxonomies | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: CA g58499) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: CA G58499) | |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: CA G58499) | |
| 208D00000X General Practice (Licence: CA G58499) | |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2023-03-07 |