| NPI | 1376548354 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: VA 0101272965) |
| Additional Taxonomies | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: FL ME0038681) |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: VT 042-0014870) | |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2024-04-04 |