| NPI | 1386844702 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: ME 018106) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA10909400) |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: VA 0101243956) | |
| 207V00000X Obstetrics & Gynecology (Licence: KY 53114) | |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2021-07-28 |