| NPI | 1437153913 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology Gynecologic Oncology (Licence: IN 01049875A) |
| Additional Taxonomies | 207VX0201X Obstetrics & Gynecology Gynecologic Oncology (Licence: MI 4301075354) |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2017-05-03 |