| NPI | 1326009382 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 146038) |
| Additional Taxonomies | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: NJ MA57701) |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: NJ 25MA05770100) | |
| Enumeration Date | 2006-03-30 |
| Last Update Date | 2017-07-31 |