NPI | 1891948303 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA09162800) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: DE C1-0027170) |
Enumeration Date | 2008-10-28 |
Last Update Date | 2024-06-18 |