| NPI | 1710059290 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology Gynecologic Oncology (Licence: MD D0054353) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0101058892) |
| 207VX0201X Obstetrics & Gynecology Gynecologic Oncology (Licence: VA 0101058892) | |
| 207V00000X Obstetrics & Gynecology (Licence: MD D0054353) | |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2021-06-10 |