| NPI | 1346280393 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: CT 366) |
| Additional Taxonomies | 176B00000X Midwife (Licence: NY F000957) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2011-11-10 |