| 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 |