| NPI | 1316033483 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: FL me149741) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA07842700) |
| 207V00000X Obstetrics & Gynecology (Licence: ME 016585) | |
| 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: NJ 25MA07842700) | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2021-07-26 |