| NPI | 1528387578 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME 112944) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 036128286) |
| Enumeration Date | 2010-05-28 |
| Last Update Date | 2020-03-05 |