| NPI | 1003009473 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NJ 25MA0776700) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: NJ 25MA0776700) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NJ 25MA0776700) | |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2021-02-17 |