| NPI | 1437220878 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: ME MD26820) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301054235) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2023-06-30 |