| NPI | 1568493948 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AL MD43396) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME142803) |
| 207V00000X Obstetrics & Gynecology (Licence: TN MD028518) | |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2022-02-07 |