NPI | 1528155397 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4301053833) |
Additional Taxonomies | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: MI 4301053833) |
Enumeration Date | 2006-10-05 |
Last Update Date | 2012-03-29 |