| NPI | 1437197837 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NJ 25MA06977000) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA06977000) |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: NJ 25MA06977000) | |
| 207Q00000X Family Medicine (Licence: NJ 25MA06977000) | |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2009-09-01 |