| NPI | 1326088394 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MT 8226) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: ME MD23498) |
| 207V00000X Obstetrics & Gynecology (Licence: OR MD196903) | |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2020-06-06 |