NPI | 1285121855 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: NJ 25MA12497200) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA12497200) |
Enumeration Date | 2018-04-18 |
Last Update Date | 2025-09-02 |