| NPI | 1447221510 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 320910) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD464152) |
| 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA08692100) | |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2025-02-13 |