| NPI | 1003877002 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: CA C160189) |
| Additional Taxonomies | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: MA 224807) |
| 207V00000X Obstetrics & Gynecology (Licence: CA C160189) | |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: CT 54011) | |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: NJ 25MA8279400) | |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2024-04-26 |