| NPI | 1386645315 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NY 189811) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 189811) |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: NY 189811) | |
| Enumeration Date | 2005-08-01 |
| Last Update Date | 2016-12-14 |