| NPI | 1609239003 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: NJ 25MA12301300) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME145611) |
| 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA12301300) | |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2024-08-12 |