| NPI | 1285073619 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: FL ME131169) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL TRN19308) |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2024-05-10 |