| NPI | 1568554129 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: FL OS16232) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MI 5101014184) |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: MI 5101014184) | |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2019-08-20 |