| NPI | 1366419418 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology Gynecologic Oncology (Licence: FL OS15508) |
| Additional Taxonomies | 207VX0201X Obstetrics & Gynecology Gynecologic Oncology (Licence: OH 34.005939F) |
| 207VX0201X Obstetrics & Gynecology Gynecologic Oncology (Licence: SC TL36735) | |
| 207VX0201X Obstetrics & Gynecology Gynecologic Oncology (Licence: IN 02004699A) | |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2018-08-10 |