| NPI | 1770563397 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: WA MD00033571) |
| Additional Taxonomies | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: CA GFE72717) |
| 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: ME 017273) | |
| 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: ID M-11044) | |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2014-08-19 |