| NPI | 1982712790 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA C51261) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NV 6884) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2015-10-15 |