| NPI | 1760493076 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA G083566) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA G83566) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2024-06-27 |