| NPI | 1326067018 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NJ 25MA05989300) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD034343) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: PA MD034343E) | |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2020-02-11 |