| 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 |