| NPI | 1437478146 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: SC 84923) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SC 84923) |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: PA MD451425) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-05-19 |
| Last Update Date | 2022-04-19 |