| NPI | 1801974779 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA G54706) |
| Additional Taxonomies | 207VC0200X Obstetrics & Gynecology, Critical Care Medicine (Licence: CA G54706) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: CA G54706) | |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: CA G54706) | |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: CA G54706) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2014-04-10 |