NPI | 1558998914 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: CA A187108) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A187108) |
Enumeration Date | 2020-03-25 |
Last Update Date | 2024-07-10 |