NPI | 1073715108 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NJ 25MA08579200) |
Additional Taxonomies | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: PA md057992-l) |
207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: IN 01094951A) | |
Enumeration Date | 2007-06-01 |
Last Update Date | 2025-04-24 |