| NPI | 1881677508 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME124293) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA06031700) |
| 207V00000X Obstetrics & Gynecology (Licence: PA MD039416L) | |
| 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: PA MD039416L) | |
| 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: NJ 25MA060317100) | |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2022-03-07 |