| NPI | 1689609273 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: VT 042-000-9968) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VT 042-000-9968) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2016-09-30 |