| NPI | 1730522145 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VC0300X Obstetrics & Gynecology, Complex Family Planning (Licence: FL ME141935) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME141935) |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2025-07-24 |