| NPI | 1891948303 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA09162800) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: DE C1-0027170) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2024-06-18 |