| NPI | 1942441498 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: FL ME145831) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME145831) |
| 207V00000X Obstetrics & Gynecology (Licence: PA MT 186769) | |
| Enumeration Date | 2009-03-12 |
| Last Update Date | 2023-01-18 |