NPI | 1356359020 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NJ 25MA06790400) |
Additional Taxonomies | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: PA MD444478) |
207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: OH 35078722) | |
Enumeration Date | 2006-08-04 |
Last Update Date | 2023-12-21 |