| NPI | 1730156803 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NJ 25MA07095600) |
| Additional Taxonomies | 174400000X Specialist (Licence: NJ 203767) |
| 174400000X Specialist (Licence: NJ MA7095) | |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2024-01-02 |