| NPI | 1497717045 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AR R1991) |
| Additional Taxonomies | 207VX0201X Obstetrics & Gynecology Gynecologic Oncology (Licence: AR R-1991) |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2008-02-27 |