| NPI | 1578180444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT J KILTZ Member 315-671-4848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology |
| Enumeration Date | 2020-06-26 |
| Last Update Date | 2020-06-26 |