| NPI | 1609215490 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME132198) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SC LL35836) |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2022-07-21 |