| NPI | 1881775864 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: ME 018437) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ME 018437) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2010-08-11 |