NPI | 1467496869 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: NC 9801384) |
Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: KY 39349) |
Enumeration Date | 2006-06-15 |
Last Update Date | 2021-08-19 |