| NPI | 1093774234 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NC 27648) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 27648) |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: NC 11794) | |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2020-02-17 |