NPI | 1275626400 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 206393) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 206393) |
Enumeration Date | 2006-10-02 |
Last Update Date | 2007-07-09 |