| NPI | 1972858678 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: CA A127617) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A127617) |
| 207V00000X Obstetrics & Gynecology (Licence: OR MD176718) | |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2022-07-21 |