| NPI | 1538145339 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology Reproductive Endocrinology (Licence: FL ME 48354) |
| Additional Taxonomies | 207VF0040X Obstetrics & Gynecology Female Pelvic Medicine and Reconstructive Surgery (Licence: FL ME 48354) |
| 207VG0400X Obstetrics & Gynecology Gynecology (Licence: FL ME 48354) | |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2016-06-27 |