| NPI | 1619102985 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: NJ 25ME00048001) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: PA MW010192) |
| Enumeration Date | 2009-05-15 |
| Last Update Date | 2025-02-21 |