| NPI | 1295949154 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ MA49176) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD044865E) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2013-04-24 |