| NPI | 1740275064 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA10635300) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA G70841) |
| 207V00000X Obstetrics & Gynecology (Licence: VA 0101266257) | |
| 207V00000X Obstetrics & Gynecology (Licence: TX K5869) | |
| 207V00000X Obstetrics & Gynecology (Licence: NY 319212) | |
| 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: FL ME114379) | |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NV 12108) | |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2024-09-04 |