| NPI | 1861506917 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: CA G152510) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA G152510) |
| 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: RI MD15044) | |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: CA G152510) | |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2024-04-19 |