| NPI | 1306885512 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: FL ME120130) |
| Additional Taxonomies | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: NY 214883) |
| 207V00000X Obstetrics & Gynecology (Licence: FL ME120130) | |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2020-06-08 |