| NPI | 1083025258 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME167604) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OR MD193284) |
| 207V00000X Obstetrics & Gynecology (Licence: CO CDR.0002547) | |
| 207V00000X Obstetrics & Gynecology (Licence: WA MD60912451) | |
| 207VX0000X Obstetrics & Gynecology Obstetrics (Licence: AZ 62045) | |
| Enumeration Date | 2014-05-09 |
| Last Update Date | 2024-09-24 |