NPI | 1669530481 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: NY 313314) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 218456) |
Enumeration Date | 2006-12-05 |
Last Update Date | 2022-09-16 |