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 |