| NPI | 1467647537 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: CA A99508) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A99508) |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2012-07-31 |