| NPI | 1538378856 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: TX R1869) |
| Additional Taxonomies | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: CT 047720) |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: NC 200601009) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2024-07-23 |