| NPI | 1497771950 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: NJ 25MA05346800) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2018-09-24 |