| NPI | 1801809066 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: NY 255438-1) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME94114) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2023-05-03 |