| NPI | 1619078532 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: CA A42345) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301104263) |
| 207V00000X Obstetrics & Gynecology (Licence: CA A43245) | |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: MI 4301104263) | |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2022-10-12 |