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 |