| NPI | 1083748966 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: MN 758436) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: WA MD60256427) |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: IN 01078092A) | |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: WA MC60256427) | |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2023-10-26 |