| NPI | 1437235157 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME131170) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD009712E) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2019-04-08 |