| NPI | 1598716920 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: MO 2016017358) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0102206718) |
| 207V00000X Obstetrics & Gynecology (Licence: NJ 25MB05676400) | |
| 207V00000X Obstetrics & Gynecology (Licence: MO 2016017358) | |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2021-09-07 |