| NPI | 1396725859 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: TN DO1375) |
| Additional Taxonomies | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NJ MB04584000) |
| 207V00000X Obstetrics & Gynecology (Licence: NJ MB04584000) | |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2015-03-12 |