| NPI | 1326213794 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: WA MD61173394) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD61173394) |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: KY 46876) | |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: IN 01081985A) | |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: OH 35.131678) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2022-04-18 |