| NPI | 1073540951 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: MO 2010014078) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: KY 44373) |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: MO 2010014078) | |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: MO 2006015599) | |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: KY 44373) | |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2021-10-11 |