| NPI | 1487602116 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA07670300) |
| Additional Taxonomies | 174400000X Specialist (Licence: NJ MA076703) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2020-10-19 |