| NPI | 1184714032 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology Gynecologic Oncology (Licence: WA MD00042256) |
| Additional Taxonomies | 207VX0201X Obstetrics & Gynecology Gynecologic Oncology (Licence: CA G57134) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2013-08-14 |