| NPI | 1629239561 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: VA 0101243179) |
| Additional Taxonomies | 208D00000X General Practice (Licence: VA 0101243179) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: FL ME101708) | |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: FL ME101708) | |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2016-11-04 |