| NPI | 1720198096 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: SC 89322) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA07406700) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2023-03-08 |