| NPI | 1568439768 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: FL ME173734) |
| Additional Taxonomies | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: MD D90981) |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: PA MD460521) | |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2025-07-10 |