| NPI | 1295146033 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25IA13012400) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MD D88886) |
| 207V00000X Obstetrics & Gynecology (Licence: PA MD464376) | |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2026-08-04 |