| NPI | 1710074182 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME120472) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: FL ME120472) |
| 174400000X Specialist (Licence: TN MD31626) | |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2023-01-25 |