NPI | 1821249574 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 266320) |
Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NY 266320) |
207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: NY 266320) | |
Enumeration Date | 2008-09-30 |
Last Update Date | 2019-12-03 |