| NPI | 1427494038 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: PA OS020610) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA OS020610) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA OT015345) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NJ 25MB10071900) | |
| Enumeration Date | 2013-05-22 |
| Last Update Date | 2020-07-10 |