| NPI | 1740496991 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ MA09348100) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD437417) |
| 207V00000X Obstetrics & Gynecology (Licence: PA MT186317) | |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2019-04-15 |