| NPI | 1255599130 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology Gynecologic Oncology (Licence: TN 5369) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: CA 20A17849) |
| 207VX0201X Obstetrics & Gynecology Gynecologic Oncology (Licence: CA 20A17849) | |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2025-08-11 |