| NPI | 1306815634 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: AR E-9978) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: AR E-9978) |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: MN 26349) | |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2022-04-13 |