NPI | 1326080987 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NY 174544) |
Additional Taxonomies | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NY 1745441) |
207V00000X Obstetrics & Gynecology (Licence: NY 1745441) | |
Enumeration Date | 2006-06-11 |
Last Update Date | 2022-10-04 |