| NPI | 1215027636 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: NY 158152) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 158152) |
| Enumeration Date | 2006-10-14 |
| Last Update Date | 2012-01-11 |