| NPI | 1558336974 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA GFE75238) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA G75238) |
| Enumeration Date | 2006-02-20 |
| Last Update Date | 2021-02-25 |