| NPI | 1518189349 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology Gynecologic Oncology (Licence: ME MD18183) |
| Additional Taxonomies | 207VX0201X Obstetrics & Gynecology Gynecologic Oncology (Licence: RI MD12732) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2012-03-06 |