| NPI | 1043283690 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA04092700) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ MA040927) |
| 207V00000X Obstetrics & Gynecology (Licence: PA MD025682E) | |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2021-05-26 |