| NPI | 1538235569 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME0056754) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: FL ME0056754) |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: FL ME0056754) | |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-04-15 |