| NPI | 1740296722 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 181715-1) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 181715) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2020-06-30 |