| NPI | 1821106527 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME78759) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME78759) |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: FL ME78759) | |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2020-03-16 |