| 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 |