| NPI | 1669584199 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: WA MD00032506) |
| Additional Taxonomies | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: WA MD00032506) |
| 207V00000X Obstetrics & Gynecology (Licence: WA MD00032506) | |
| 207V00000X Obstetrics & Gynecology (Licence: VA 0101038575) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2021-11-10 |