| NPI | 1881893238 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MO 2009005464) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME113546) |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2014-03-06 |