| NPI | 1487650495 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME26840) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME0026840) |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2023-03-31 |