| NPI | 1326201906 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology Gynecologic Oncology (Licence: OH 35.152049) |
| Additional Taxonomies | 207VX0201X Obstetrics & Gynecology Gynecologic Oncology (Licence: MA 250922) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: MA 250922) | |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2024-10-17 |