| NPI | 1659472728 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology Gynecologic Oncology (Licence: PA MD439869) |
| Additional Taxonomies | 207VX0201X Obstetrics & Gynecology Gynecologic Oncology (Licence: NJ 25MA08234300) |
| 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA08234300) | |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2013-01-18 |