| NPI | 1114129541 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: MD D0087654) |
| Additional Taxonomies | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: PA MD439249) |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: TX M5158) | |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2019-09-16 |