| NPI | 1417028275 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: CA G47611) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA G47611) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2011-07-06 |