NPI | 1396776688 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: NE 31633) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NE 31633) |
207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: CA A43641) | |
Enumeration Date | 2006-07-05 |
Last Update Date | 2019-08-29 |