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 |