NPI | 1497710172 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2023-02401) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME87105) |
207VX0201X Obstetrics & Gynecology Gynecologic Oncology (Licence: FL ME 87105) | |
207RH0002X Internal Medicine Hospice and Palliative Medicine (Licence: NC 2023-02401) | |
207Q00000X Family Medicine (Licence: NC 2023-02401) | |
Enumeration Date | 2006-04-18 |
Last Update Date | 2024-05-14 |