| NPI | 1407895741 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: MA 78573) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 281197) |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NY 281197) | |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2019-03-18 |