| NPI | 1831416874 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MA 272985) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 35-097755) |
| 207V00000X Obstetrics & Gynecology (Licence: PA MD442062) | |
| 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA09322700) | |
| Enumeration Date | 2010-04-30 |
| Last Update Date | 2020-05-23 |