| NPI | 1417059106 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: FL ME54991) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME54991) |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2016-09-01 |