NPI | 1538267976 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NY 142193) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 142193) |
Enumeration Date | 2006-09-20 |
Last Update Date | 2015-12-03 |