| NPI | 1417178476 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: FL ACN198) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: CT 25204) |
| 207VX0000X Obstetrics & Gynecology Obstetrics (Licence: FL ACN198) | |
| 207VX0000X Obstetrics & Gynecology Obstetrics (Licence: CT 25204) | |
| 207V00000X Obstetrics & Gynecology (Licence: FL ME100569) | |
| 207VG0400X Obstetrics & Gynecology Gynecology (Licence: FL ME100569) | |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2011-09-23 |