| NPI | 1033316294 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology Gynecologic Oncology (Licence: NE 27892) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NE 5627) |
| 207VX0201X Obstetrics & Gynecology Gynecologic Oncology (Licence: OH 35.097164) | |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2014-11-05 |