NPI | 1356421812 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NY 214124) |
Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NJ 25MA06535400) |
207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: NJ 25MA06535400) | |
207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: NJ 25MA06535400) | |
Enumeration Date | 2006-10-17 |
Last Update Date | 2022-01-26 |