| NPI | 1396199451 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NJ 25MA12033200) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: RI MD17105) |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2024-10-08 |