| NPI | 1336108992 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MD D0020867) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A37793) |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2017-10-09 |