NPI | 1346697042 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2023-02608) |
Additional Taxonomies | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: VA 0102205104) |
Enumeration Date | 2016-05-23 |
Last Update Date | 2024-12-02 |