NPI | 1568482685 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 143790) |
Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NY 143790) |
207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: NY 143790) | |
Enumeration Date | 2006-07-20 |
Last Update Date | 2007-07-08 |