| NPI | 1104815679 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NY 237929-1) |
| Additional Taxonomies | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: NY 237929) |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: PA MD438097) | |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2019-07-11 |