| NPI | 1093759631 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA06173800) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ NJMA61738) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2011-11-23 |