| NPI | 1427023175 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: IA MD-41685) |
| Additional Taxonomies | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: MN 45223) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: IA MD-41685) | |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2014-10-21 |