| NPI | 1477585347 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: TN 20450) |
| Additional Taxonomies | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: AR E3415) |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: MS 18303) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2022-01-25 |