| NPI | 1447213566 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA04992200) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 164877) |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2022-01-24 |