| NPI | 1255346763 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology Gynecologic Oncology (Licence: CA A55863) |
| Additional Taxonomies | 207VX0201X Obstetrics & Gynecology Gynecologic Oncology (Licence: OR MD23949) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2019-03-22 |