| NPI | 1497961767 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NY 261165) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 261165) |
| 207V00000X Obstetrics & Gynecology (Licence: PA MT184255) | |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2023-07-06 |