| NPI | 1669747051 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CT 83178) |
| Additional Taxonomies | 2083C0008X Preventive Medicine, Clinical Informatics Specialist (Licence: NY 31-19260) |
| 207V00000X Obstetrics & Gynecology (Licence: NY 283307) | |
| Enumeration Date | 2012-03-19 |
| Last Update Date | 2025-11-07 |