| NPI | 1215463807 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA1153600) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: RI MD20065) |
| Enumeration Date | 2017-05-03 |
| Last Update Date | 2024-08-13 |