| NPI | 1497736847 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VC0300X Obstetrics & Gynecology, Complex Family Planning (Licence: CT 82784) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 215898) |
| 207V00000X Obstetrics & Gynecology (Licence: MA 213684) | |
| 207V00000X Obstetrics & Gynecology (Licence: CT 82784) | |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2025-11-09 |