NPI | 1093820151 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 198920) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA 130498) |
Enumeration Date | 2006-08-20 |
Last Update Date | 2018-01-26 |