| NPI | 1588006985 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA11451500) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: HI MD-18728) |
| Enumeration Date | 2013-07-25 |
| Last Update Date | 2025-10-09 |