| NPI | 1316251796 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: IL 036148839) |
| Additional Taxonomies | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: MN 60518) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301095981) | |
| Enumeration Date | 2010-07-28 |
| Last Update Date | 2022-10-19 |