| NPI | 1952495798 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NJ MB65141) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MB06514100) |
| 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: NJ NJMB65141) | |
| 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: NJ 25MB06514100) | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: NJ 25MB06514100) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2022-07-26 |