| NPI | 1992819957 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME155251) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IN 01041051A) |
| 207V00000X Obstetrics & Gynecology (Licence: CA G130667) | |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2022-12-20 |