NPI | 1790982031 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: MI 4301089753) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301089753) |
Enumeration Date | 2007-06-29 |
Last Update Date | 2019-05-30 |