| NPI | 1447364062 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA G46835) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: GU M-2505) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2026-02-03 |