| NPI | 1528266483 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: PA MD472231) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 35.123875) |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: VA 0116023283) | |
| 207V00000X Obstetrics & Gynecology (Licence: NC 142503) | |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: OH 35.123875) | |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2021-02-24 |