| NPI | 1972673929 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: FL ME138192) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME138192) |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: PA MD433629) | |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NJ 25MA06058000) | |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2020-02-26 |