| NPI | 1477003044 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: CA A145371) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A145371) |
| Enumeration Date | 2016-10-07 |
| Last Update Date | 2022-11-15 |