NPI | 1821168964 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: NY 182403) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 182403) |
Enumeration Date | 2006-11-08 |
Last Update Date | 2008-03-12 |