NPI | 1205997277 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NV 15892) |
Additional Taxonomies | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NY 239350) |
207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NJ 25MA09245200) | |
Enumeration Date | 2006-12-13 |
Last Update Date | 2023-09-29 |