| NPI | 1801026356 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 261057) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: HI MD-16167) |
| Enumeration Date | 2009-07-18 |
| Last Update Date | 2022-12-15 |