| NPI | 1437413705 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA 20A14590) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 283982) |
| 207V00000X Obstetrics & Gynecology (Licence: NY 125114) | |
| Enumeration Date | 2012-07-01 |
| Last Update Date | 2016-06-17 |