| NPI | 1881941540 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology Obstetrics (Licence: RI MD16960) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: MA 269506) |
| Enumeration Date | 2012-08-12 |
| Last Update Date | 2021-12-17 |