| NPI | 1346337839 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: NJ MA52482) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ MA52482) |
| 207V00000X Obstetrics & Gynecology (Licence: PA MD040307L) | |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: PA MD040307L) | |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2014-08-12 |