| NPI | 1730101239 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NY 200925-1) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 200925) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2010-10-22 |