| NPI | 1598986200 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: MT 33051) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MT 33051) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2023-08-09 |