NPI | 1295028611 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: RI MD14914) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: RI MD14914) |
207V00000X Obstetrics & Gynecology (Licence: MA 278102) | |
207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: MA 278102) | |
Enumeration Date | 2011-05-18 |
Last Update Date | 2022-11-04 |