| NPI | 1851499941 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME13326) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NM MD2013-0965) |
| 207V00000X Obstetrics & Gynecology (Licence: PR 12031) | |
| 207V00000X Obstetrics & Gynecology (Licence: MI 4301087009) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2024-05-03 |