| NPI | 1699982165 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25ma0815450) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA md433538) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2010-10-21 |