| NPI | 1649250655 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: WI 13217-320) |
| Additional Taxonomies | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: MD D0075326) |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: DC MD042121) | |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: PA MD458373) | |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: MN 75499) | |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2025-02-26 |