NPI | 1720198880 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: LA 311933) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WI 39972) |
207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: WI 39972) | |
Enumeration Date | 2006-08-30 |
Last Update Date | 2024-04-30 |