| NPI | 1467448787 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: VT 0420009610) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: VT 0420009610) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NY 1994931) | |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: NY 1994931) | |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2013-05-23 |