| NPI | 1356335178 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME103799) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MA0752600) |
| 207Q00000X Family Medicine (Licence: NJ 25MA0752600) | |
| 207Q00000X Family Medicine (Licence: FL ME 103799) | |
| 207V00000X Obstetrics & Gynecology (Licence: IL 036106681) | |
| 207V00000X Obstetrics & Gynecology (Licence: MO 2008016029) | |
| 208D00000X General Practice (Licence: NJ 25MA0752600) | |
| 207Q00000X Family Medicine (Licence: FL ME103799) | |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2015-10-27 |