| NPI | 1528111044 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: HI 9252) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA G37448) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2007-07-08 |