| NPI | 1275974784 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NJ 25MA11201000) |
| Additional Taxonomies | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: DC MD044765) |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: DC MD044765) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-07-12 |
| Last Update Date | 2025-08-28 |