NPI | 1265489215 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD042352E) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ MA49210) |
Enumeration Date | 2006-05-27 |
Last Update Date | 2022-08-04 |