| NPI | 1871214726 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: FL ME174722) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME174722) |
| Enumeration Date | 2022-09-08 |
| Last Update Date | 2025-10-22 |