| NPI | 1306813167 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: CA A84527) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD00046338) |
| 207V00000X Obstetrics & Gynecology (Licence: CA A84527) | |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: WA MD00046338) | |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2023-11-03 |