| NPI | 1568409373 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology Gynecologic Oncology (Licence: MI 4301111311) |
| Additional Taxonomies | 207VX0201X Obstetrics & Gynecology Gynecologic Oncology (Licence: IN 01032586) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2021-03-26 |