| NPI | 1427087204 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: PA OS006466E) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA OS006466E) |
| 207V00000X Obstetrics & Gynecology (Licence: TX G5357) | |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: TX G5357) | |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2026-04-17 |