| NPI | 1518002567 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology Gynecologic Oncology (Licence: NJ 25MA11732100) |
| Additional Taxonomies | 207VX0201X Obstetrics & Gynecology Gynecologic Oncology (Licence: PA MD426969) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2023-05-24 |