| NPI | 1326049859 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA12012200) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 2063911) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2023-11-17 |