| NPI | 1720047707 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA 20A10163) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA 10163) |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2024-12-29 |