| NPI | 1831260348 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MA 51371) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: RI MD17766) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2021-11-23 |