| NPI | 1689649204 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: ME MD18379) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: RI MD17463) |
| 207V00000X Obstetrics & Gynecology (Licence: ID MC-0896) | |
| 207V00000X Obstetrics & Gynecology (Licence: ME 018379) | |
| 207V00000X Obstetrics & Gynecology (Licence: MA 153797) | |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2023-07-10 |