| NPI | 1598756918 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NE CP2188) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME59140) |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2026-06-05 |