| NPI | 1457398430 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: OR MD152183) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A68905) |
| 207V00000X Obstetrics & Gynecology (Licence: OR MD152183) | |
| 207V00000X Obstetrics & Gynecology (Licence: WA MD60321425) | |
| 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: WA MD60321425) | |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2020-06-05 |