| NPI | 1972948958 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: NY 287479) |
| Additional Taxonomies | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: NJ 25MA11975300) |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: LA 327309) | |
| Enumeration Date | 2013-05-06 |
| Last Update Date | 2023-12-29 |