| NPI | 1538107644 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NY 223790) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: PA OS013104) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2021-04-14 |