NPI | 1407899438 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: MA 229683) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 35083049) |
Enumeration Date | 2006-06-14 |
Last Update Date | 2011-09-02 |