| NPI | 1558317347 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: NY 121208) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 121208) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2018-02-07 |