| NPI | 1275570467 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: UT 293511-1205) |
| Additional Taxonomies | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: TN 19207) |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: MS 12263) | |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2021-10-20 |