| NPI | 1871554246 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: FL ME26821) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME26821) |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2017-02-07 |