| NPI | 1427073311 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA05542500) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ MA55425) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2022-03-17 |