| NPI | 1053714410 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology Reproductive Endocrinology (Licence: NY 278684) |
| Additional Taxonomies | 207SG0201X Medical Genetics Clinical Genetics (M.D.) (Licence: NY 278684) |
| 207V00000X Obstetrics & Gynecology (Licence: NY 278684) | |
| Enumeration Date | 2014-09-30 |
| Last Update Date | 2021-05-21 |