| NPI | 1295894673 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: CA G67056) |
| Additional Taxonomies | 174400000X Specialist |
| 207V00000X Obstetrics & Gynecology (Licence: CA G67056) | |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2015-01-08 |