| NPI | 1467423871 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: VA 0101257128) |
| Additional Taxonomies | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: TN 48014) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: TN 48014) | |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: TX H4087) | |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: TX H4087) | |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: WA MD60066893) | |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: WA MD 60066893) | |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2015-04-16 |