| NPI | 1003233578 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: FL ME150340) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: GA 007131) |
| 207VX0000X Obstetrics & Gynecology Obstetrics (Licence: FL ME150340) | |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2024-02-29 |