| NPI | 1508421314 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NJ 25MA12608700) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4351044083) |
| 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: IL 036165559) | |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2025-07-18 |