| NPI | 1629229216 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OR MD157498) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A111283) |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2016-08-01 |