| NPI | 1518145473 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME110373) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MD D76187) |
| Enumeration Date | 2008-02-03 |
| Last Update Date | 2021-01-08 |