| NPI | 1730155953 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NJ 25MA05973200) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ MA59732) |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2025-10-31 |