| NPI | 1013172022 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: MO 2015025644) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 5101017678) |
| 207V00000X Obstetrics & Gynecology (Licence: PA OS015980) | |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: KS 0538312) | |
| Enumeration Date | 2008-07-20 |
| Last Update Date | 2022-01-27 |