| NPI | 1619955960 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NY 139250) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WV 21830) |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2023-11-03 |