| NPI | 1154387637 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: AZ 57123) |
| Additional Taxonomies | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NY 150128) |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NJ MA53823) | |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2019-07-25 |