| NPI | 1386739480 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NJ MA50913) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD031842E) |
| 207V00000X Obstetrics & Gynecology (Licence: NJ MA50913) | |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: PA MD031842E) | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-11-03 |