| NPI | 1497854236 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology Obstetrics (Licence: NJ 25MA058212) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: NJ 25MA058212) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2008-10-27 |