NPI | 1659489284 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: ME MD19505) |
Additional Taxonomies | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: MO 2025005986) |
207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: VT 042-0010087) | |
Enumeration Date | 2006-08-25 |
Last Update Date | 2025-03-06 |