| NPI | 1700037892 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WI 67267-20) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA 142852) |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2024-05-10 |