| NPI | 1376568741 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: CA G75101) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA G75101) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2020-02-06 |