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 | |
207V00000X Obstetrics & Gynecology (Licence: DC MD044765) | |
Enumeration Date | 2013-07-12 |
Last Update Date | 2021-08-16 |