| NPI | 1003919960 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: CO DR.0040684) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CO 40684) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2018-11-21 |