| NPI | 1598807448 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: CA G46962) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G46962) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CA E05099) | |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2024-04-26 |