| NPI | 1679821979 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G58868) |
| Additional Taxonomies | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: CA G58868) |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: CA G58868) | |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: CA G58868) | |
| Enumeration Date | 2012-08-17 |
| Last Update Date | 2025-09-25 |