| NPI | 1790720175 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: CA G21049) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA G21049) |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2010-12-01 |