| NPI | 1235101916 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 230336) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 276690) |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2023-07-26 |