| NPI | 1518034008 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME142110) |
| Additional Taxonomies | 174400000X Specialist (Licence: VA 0101031857) |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: MD D40656) | |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2025-03-26 |