| NPI | 1447221510 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA08692100) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD464152) |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2020-10-07 |