NPI | 1073582011 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: NJ MA55044) |
Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NJ MA55044) |
Enumeration Date | 2006-03-14 |
Last Update Date | 2007-07-30 |