| NPI | 1619069424 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: NJ 25MB04815300) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MB04815300) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2024-04-25 |