| NPI | 1447223326 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA G85560) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA G85560) |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2020-07-27 |