NPI | 1922233824 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: NJ 25MA09242900) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA09242900) |
Enumeration Date | 2009-05-20 |
Last Update Date | 2015-11-12 |