| NPI | 1316998859 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MBO5329600) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ MB53296) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2023-11-29 |