| NPI | 1548292162 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OR MD17433) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA G65977) |
| 207V00000X Obstetrics & Gynecology (Licence: HI 7040) | |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2012-11-01 |