| NPI | 1639339237 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: ME MD19774) |
| Additional Taxonomies | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NY 247576) |
| 207V00000X Obstetrics & Gynecology (Licence: ME MD19774) | |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2015-01-05 |