| NPI | 1477528263 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 138790) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 000962) |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2015-01-06 |