| NPI | 1275523227 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: FL ME0045179) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME0045179) |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: FL ME0045179) | |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: FL ME0045179) | |
| Enumeration Date | 2005-10-21 |
| Last Update Date | 2022-03-08 |