| NPI | 1740223742 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AL MD21529) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME0094725) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2014-08-27 |