| NPI | 1407831175 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME61075) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME61075) |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2023-06-22 |