| NPI | 1265522627 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: NJ 25MA09779300) |
| Additional Taxonomies | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: MO 118005) |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: OH 35.125993) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2018-12-11 |