| NPI | 1013157734 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: FL ME163349) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NY n/a) |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: MA 249061) | |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: NJ 25MA09494000) | |
| Enumeration Date | 2009-02-21 |
| Last Update Date | 2023-11-13 |