| NPI | 1487686200 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: OK 32593) |
| Additional Taxonomies | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: TX L4470) |
| 2086X0206X Surgery, Surgical Oncology (Licence: GA 058970) | |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2018-10-24 |