| NPI | 1689235418 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: CA 20A22593) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: RI DO01333) |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NJ 25MB10663800) | |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: PA OS021195) | |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2025-10-23 |