| NPI | 1255566964 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology Gynecologic Oncology (Licence: CO DR.0052142) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CO DR0052142) |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2018-11-21 |