| NPI | 1730151416 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ MA051544) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NJ MA51544) |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2011-09-15 |