| NPI | 1386788081 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: CA G49402) |
| Additional Taxonomies | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: MT MED-PHYS-LIC-52253) |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: CO 28712) | |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2020-03-12 |