| NPI | 1851374656 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: MA 71581) |
| Additional Taxonomies | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: CA G26652) |
| 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine | |
| Enumeration Date | 2005-11-25 |
| Last Update Date | 2008-01-22 |