| NPI | 1144428038 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MO 2010020901) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 259975-1) |
| 207V00000X Obstetrics & Gynecology (Licence: MO 2010020901) | |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2021-06-18 |