| NPI | 1760432363 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: TN 30309) |
| Additional Taxonomies | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: IN 01078802A) |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: GA 45182) | |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2019-01-18 |