| NPI | 1780641431 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: KY 16232) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: KY 16232) |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2013-05-29 |