| NPI | 1063451219 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NY 189071) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 189071) |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2024-06-25 |