| NPI | 1992746002 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO DR.0053014) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A00067848) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2018-06-06 |