| NPI | 1164447900 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology Gynecologic Oncology (Licence: CA G39480) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA G39480) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2024-04-19 |