| NPI | 1639401862 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NY 239228) |
| Additional Taxonomies | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: NY 239228) |
| 207V00000X Obstetrics & Gynecology (Licence: NY 239228) | |
| Enumeration Date | 2010-02-15 |
| Last Update Date | 2017-01-25 |