| NPI | 1316276074 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MD D0091081) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 255500) |
| Enumeration Date | 2009-12-09 |
| Last Update Date | 2024-03-18 |