| NPI | 1194835181 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: MO 2011006588) |
| Additional Taxonomies | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: MI JC015918) |
| 2086X0206X Surgery, Surgical Oncology (Licence: IA 4038) | |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: IA 4038) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2013-03-30 |