| 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 |