| NPI | 1467977637 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology Obstetrics (Licence: CA 44370) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology Obstetrics (Licence: CA A44370) |
| 207VX0000X Obstetrics & Gynecology Obstetrics (Licence: CA A044370) | |
| Enumeration Date | 2017-08-09 |
| Last Update Date | 2017-08-09 |