| NPI | 1265468227 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2021-00592) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 214542) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2023-03-07 |