| NPI | 1417112731 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA08358700) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 036120335) |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2010-09-23 |