| NPI | 1467446849 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 152484) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 160632) |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2010-12-17 |