| NPI | 1174545479 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 202K00000X Phlebology (Licence: FL ME39243) |
| Additional Taxonomies | 207VE0102X Obstetrics & Gynecology Reproductive Endocrinology (Licence: FL ME 39243) |
| 207VG0400X Obstetrics & Gynecology Gynecology (Licence: FL ME 39243) | |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2008-12-23 |