| NPI | 1871673335 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Female Pelvic Medicine and Reconstructive Surgery (Licence: NY 236243) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 236243) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2021-03-03 |