| NPI | 1932337086 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA09319800) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD447393) |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2016-07-07 |