| NPI | 1972578896 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: CA G46081) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA G46081) |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2015-01-28 |