| NPI | 1457662868 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA 169168) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA C169168) |
| 207V00000X Obstetrics & Gynecology (Licence: HI 17458) | |
| 207VC0200X Obstetrics & Gynecology Critical Care Medicine (Licence: CA C169168) | |
| 2086S0102X Surgery Surgical Critical Care (Licence: CA C169168) | |
| 2086S0102X Surgery Surgical Critical Care (Licence: HI 17458) | |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2021-04-15 |