| NPI | 1487816146 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: CA A101281) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A101281) |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2025-01-23 |