| NPI | 1659342756 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: MI 4301053559) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301053559) |
| Enumeration Date | 2006-01-28 |
| Last Update Date | 2016-05-18 |