| NPI | 1659489284 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology Gynecologic Oncology (Licence: ME MD19505) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VT 042-0010087) |
| 207VX0201X Obstetrics & Gynecology Gynecologic Oncology (Licence: VT 042-0010087) | |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2013-03-08 |