NPI | 1154355030 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA007712500) |
Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: NJ 25MA07712500) |
208M00000X Hospitalist (Licence: NJ 25MA07712500) | |
Enumeration Date | 2006-07-10 |
Last Update Date | 2023-02-10 |