| NPI | 1831279413 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AZ 47399) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA G75569) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2013-03-18 |