| NPI | 1568640159 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: NV 16380) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2013017439) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NJ 25MA10845400) | |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: FL 1033) | |
| Enumeration Date | 2008-02-05 |
| Last Update Date | 2022-01-26 |