| NPI | 1689235418 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ P18-00388) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA OT019673) |
| 207V00000X Obstetrics & Gynecology (Licence: RI DO01333) | |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2024-05-15 |