| NPI | 1598028755 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology Gynecologic Oncology (Licence: NY 288297) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX BP10034325) |
| 207VX0201X Obstetrics & Gynecology Gynecologic Oncology (Licence: RI 14302) | |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2017-04-28 |