| NPI | 1285617878 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: NJ 25MA05411700) |
| Additional Taxonomies | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: PA MD013399E) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: PA MD013399E) | |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NJ 25MA05411700) | |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2022-10-28 |