| NPI | 1447369319 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 214032) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 214032) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2008-03-26 |