| NPI | 1679685515 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: NY 2373291) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 237329) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2015-04-16 |