| NPI | 1801847736 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MD D0055137) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 306640) |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2020-08-26 |