NPI | 1710293048 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 257837) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 257837) |
Enumeration Date | 2010-08-24 |
Last Update Date | 2014-10-14 |