| NPI | 1588875009 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: IN 01071779A) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME93766) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2019-05-22 |