| NPI | 1568638997 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: NY 236536) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NY 236536-1) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NJ MA66558) | |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2017-11-21 |