| NPI | 1770650764 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: ME 016025) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: FL ME106484) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2010-03-02 |