| NPI | 1578532875 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology Female Pelvic Medicine and Reconstructive Surgery (Licence: NY 218835) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 2188351) |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2025-04-08 |