| NPI | 1538130653 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: TX P1969) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ MB04176800) |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NJ MB04176800) | |
| 207V00000X Obstetrics & Gynecology (Licence: PA OS005732L) | |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2016-01-05 |