| NPI | 1427049311 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Female Pelvic Medicine and Reconstructive Surgery (Licence: NJ 25MB07617800) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA OS007454L) |
| 207VF0040X Obstetrics & Gynecology, Female Pelvic Medicine and Reconstructive Surgery (Licence: PA OS007454L) | |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2023-02-10 |