| 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 |