| NPI | 1790722155 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: NJ 25MA05209100) |
| Additional Taxonomies | 207VE0102X Obstetrics & Gynecology Reproductive Endocrinology (Licence: NJ MA52091) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2024-12-18 |