| NPI | 1538197876 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MD D80816) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA G40092) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2017-11-13 |