| NPI | 1831126804 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: CA NMW1649) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CA RN639100) |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2014-12-09 |