| NPI | 1295716496 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: OR MD22081) |
| Additional Taxonomies | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: WA MD00047510) |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2023-07-17 |