| NPI | 1497790141 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: OR 16818) |
| Additional Taxonomies | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: WA MD00045734) |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: CA A23031) | |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2008-02-11 |