| NPI | 1245272749 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NY 274495) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 72898) |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NJ 25MA07061100) | |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: MA 72898) | |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2021-11-18 |