| NPI | 1447326780 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101042758) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA G87576) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2007-07-08 |