| NPI | 1588853667 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: WI 53071-20) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA08075900) |
| 207V00000X Obstetrics & Gynecology (Licence: WI 53071-20) | |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NJ 25MA08075900) | |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2024-06-04 |