| NPI | 1669439923 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: MA 153463) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: TN 64958) |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: NH 14268) | |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2022-06-21 |