| NPI | 1417977471 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: AR E-6436) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: LA 025078) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2026-03-10 |