| NPI | 1205055027 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: FL ME96115) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME96115) |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NY 243815) | |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2020-10-26 |