NPI | 1144480427 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: NY 139630) |
Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NY 139630) |
Enumeration Date | 2008-06-11 |
Last Update Date | 2008-06-11 |