| NPI | 1295769396 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NJ 25MB05656400) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA OS008247L) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NJ 25MB05656400) | |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: PA OS008247L) | |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2019-06-10 |