| NPI | 1912102229 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NY 314132) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 35089915) |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: IL 036131903) | |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2022-11-21 |