| NPI | 1508909995 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: NJ 25ma08119600) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ 25ma08119600) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NJ 25ma08119600) | |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2018-12-11 |