NPI | 1154307239 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: PA MD058898L) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD058898L) |
Enumeration Date | 2005-12-20 |
Last Update Date | 2012-04-03 |