| NPI | 1245262880 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NJ 25MA06952800) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA06952800) |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NY 195601-1) | |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2024-04-10 |