| NPI | 1184705501 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: WI 102645) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: DE C1-0007396) |
| 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: DE C1-0007396) | |
| 207V00000X Obstetrics & Gynecology (Licence: NJ MA077964) | |
| 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: NJ 25MA07796400) | |
| 207V00000X Obstetrics & Gynecology (Licence: WI 102645) | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: NJ MA077964) | |
| 2088F0040X Urology, Urogynecology and Reconstructive Pelvic Surgery (Licence: DE C1-0007396) | |
| 2088F0040X Urology, Urogynecology and Reconstructive Pelvic Surgery (Licence: NJ 25MA07796400) | |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2025-04-08 |