NPI | 1316990476 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 216741) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA G192810) |
207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NY 216741) | |
Enumeration Date | 2006-05-18 |
Last Update Date | 2025-06-23 |