| NPI | 1669452025 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NJ 25MB06099100) | 
| Additional Taxonomies | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: CA 20A21313) | 
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: VA 0102208258) | |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: DE C2-0023872) | |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: MI 5101007972) | |
| Enumeration Date | 2006-01-20 | 
| Last Update Date | 2025-01-30 |