| NPI | 1982677233 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MB05813300) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: DE C2-0023893) |
| 207V00000X Obstetrics & Gynecology (Licence: FL OS9493) | |
| 207V00000X Obstetrics & Gynecology (Licence: PA FN7479430) | |
| 207V00000X Obstetrics & Gynecology (Licence: PA OS009392L) | |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2026-06-19 |