| NPI | 1265590301 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY MD094474-1) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ 23812) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2007-07-08 |