| NPI | 1871936690 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MO 2021035555) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A134482) |
| 208M00000X Hospitalist (Licence: CA A134482) | |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2021-10-25 |