| NPI | 1336297266 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology Gynecologic Oncology (Licence: CA G69671) |
| Additional Taxonomies | 207VX0201X Obstetrics & Gynecology Gynecologic Oncology (Licence: MO 2024022145) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2024-06-18 |