| NPI | 1659328243 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: FL ME106191) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35083637M) |
| 207Q00000X Family Medicine (Licence: OH 35.083637) | |
| 207V00000X Obstetrics & Gynecology (Licence: OH 35.083637) | |
| 207V00000X Obstetrics & Gynecology (Licence: PA MD433846) | |
| 207V00000X Obstetrics & Gynecology (Licence: FL ME106191) | |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: FL ME106191) | |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2018-05-30 |