| NPI | 1265825319 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: UT 162577-1205) |
| Additional Taxonomies | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: UT 162577-8905) |
| Enumeration Date | 2015-03-13 |
| Last Update Date | 2015-03-23 |