| NPI | 1780632299 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA 20A7957) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: CA 20A7957) |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: CA 20A7957) | |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2012-03-21 |