| NPI | 1881690196 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: NY 219548) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 219548-1) |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2008-05-07 |