| NPI | 1588805923 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: VA 0101255254) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0101255254) |
| 207V00000X Obstetrics & Gynecology (Licence: MT MED-PHYS-LIC-69223) | |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: TX R5454) | |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: IN 01085672A) | |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: CO DR.0063191) | |
| Enumeration Date | 2009-03-16 |
| Last Update Date | 2023-01-03 |