| NPI | 1326144940 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology Gynecologic Oncology (Licence: NJ MA66093) |
| Additional Taxonomies | 207VX0201X Obstetrics & Gynecology Gynecologic Oncology (Licence: PA MD-044178-L) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2020-10-06 |