| NPI | 1114311180 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: HI MD-23527) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA 146275) |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2023-08-25 |