| NPI | 1154355030 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA007712500) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: NJ 25MA07712500) |
| 208M00000X Hospitalist (Licence: NJ 25MA07712500) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2023-02-10 |