| NPI | 1831306877 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NY 249791) |
| Additional Taxonomies | 207VH0002X Obstetrics & Gynecology, Hospice and Palliative Medicine (Licence: PA mt185039) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-12-28 |