| NPI | 1184986705 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: RI MD16300) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CT 76138) |
| Enumeration Date | 2012-06-10 |
| Last Update Date | 2024-03-28 |