| NPI | 1619900073 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: CA G50136) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA G50136) |
| 207V00000X Obstetrics & Gynecology (Licence: NM MD2016-0033) | |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NM MD2016-0033) | |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2024-07-12 |