| NPI | 1386173144 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: OR MD228261) |
| Additional Taxonomies | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: CA A172157) |
| 207V00000X Obstetrics & Gynecology (Licence: MA 272222) | |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2026-06-23 |