| NPI | 1437437019 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME122802) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology Obstetrics (Licence: FL ME122802) |
| Enumeration Date | 2011-07-29 |
| Last Update Date | 2021-03-15 |