| NPI | 1598723272 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: FL ME177590) |
| Additional Taxonomies | 174400000X Specialist (Licence: NJ 25MA06811400) |
| 174400000X Specialist (Licence: NY 191616) | |
| 207V00000X Obstetrics & Gynecology (Licence: FL ME177590) | |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2026-03-03 |