| NPI | 1457450439 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology Female Pelvic Medicine and Reconstructive Surgery (Licence: CA A40162) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A40162) |
| 207V00000X Obstetrics & Gynecology (Licence: CA A40162) | |
| 207VE0102X Obstetrics & Gynecology Reproductive Endocrinology (Licence: CA A40162) | |
| 207VG0400X Obstetrics & Gynecology Gynecology (Licence: CA A40162) | |
| 208600000X Surgery (Licence: CA A40162) | |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2018-06-16 |