| NPI | 1851399224 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME28711) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME0028711) |
| 207V00000X Obstetrics & Gynecology (Licence: FL ME002811) | |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2022-11-01 |