| NPI | 1447281605 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology Gynecologic Oncology (Licence: WA MD00046799) |
| Additional Taxonomies | 207VX0201X Obstetrics & Gynecology Gynecologic Oncology (Licence: CA A71734) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2010-11-05 |