| NPI | 1831241629 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 233601) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A97415) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2018-05-18 |