| NPI | 1225201957 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 263406-1) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 263406) |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2023-07-06 |