| NPI | 1528389020 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A129250) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA A129250) |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2023-11-02 |