| NPI | 1952538662 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: ME MD26466) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 255008) |
| Enumeration Date | 2009-06-20 |
| Last Update Date | 2023-04-17 |