| NPI | 1295897346 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: NY 194263) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: ME 016898) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2025-06-05 |