| NPI | 1386886166 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A106647) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 247132) |
| 207V00000X Obstetrics & Gynecology (Licence: VA 0101264833) | |
| Enumeration Date | 2009-03-25 |
| Last Update Date | 2024-05-09 |