| NPI | 1366507113 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME107809) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A68800) |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2023-03-27 |