| NPI | 1487734646 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: FL ME166240) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME166240) |
| 207V00000X Obstetrics & Gynecology (Licence: AZ 43146) | |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: AZ 43146) | |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2024-01-10 |