| NPI | 1326241324 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: TX M8157) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX M8157) |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2023-11-15 |