| NPI | 1598726499 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: DE C2-0003860) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ MB35369) |
| Enumeration Date | 2006-03-30 |
| Last Update Date | 2012-02-22 |