| NPI | 1194954222 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: TN 53843) |
| Additional Taxonomies | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: MS 24307) |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: AR E-9633) | |
| Enumeration Date | 2009-07-10 |
| Last Update Date | 2016-08-29 |