| NPI | 1538321203 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NY 301263) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: NJ 25mb08395900) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NJ 25mb08395900) | |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2021-04-26 |