| NPI | 1497710172 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2023-02401) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 2023-02401) |
| 207RH0002X Internal Medicine Hospice and Palliative Medicine (Licence: NC 2023-02401) | |
| 207V00000X Obstetrics & Gynecology (Licence: FL ME87105) | |
| 207VX0201X Obstetrics & Gynecology Gynecologic Oncology (Licence: FL ME 87105) | |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2024-03-22 |