| NPI | 1427016039 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology Gynecologic Oncology (Licence: CA G81369) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MD D53552) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2011-12-16 |