| NPI | 1821529181 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: FL ME167697) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 125.070176) |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2024-08-05 |