| NPI | 1679741268 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: PA MD436246) |
| Additional Taxonomies | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: MD D74003) |
| 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: NJ 25MA08682200) | |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2012-08-23 |