| NPI | 1174559603 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology Gynecologic Oncology (Licence: RI MD08105) |
| Additional Taxonomies | 207VX0201X Obstetrics & Gynecology Gynecologic Oncology (Licence: CT 41866) |
| 207VX0000X Obstetrics & Gynecology Obstetrics (Licence: CT 41866) | |
| 207VX0201X Obstetrics & Gynecology Gynecologic Oncology (Licence: MA 150253) | |
| 207V00000X Obstetrics & Gynecology (Licence: MA 150253) | |
| 207V00000X Obstetrics & Gynecology (Licence: RI MD08105) | |
| 207V00000X Obstetrics & Gynecology (Licence: CT 41866) | |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2021-12-28 |