| NPI | 1073659306 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: TX P6032) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA OS015223) |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: PA OT013710) | |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2022-01-28 |