| NPI | 1306873294 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology Gynecologic Oncology (Licence: CA A63220) |
| Additional Taxonomies | 207VE0102X Obstetrics & Gynecology Reproductive Endocrinology (Licence: CA A63220) |
| 207VX0000X Obstetrics & Gynecology Obstetrics (Licence: CA A63220) | |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2024-04-26 |