| NPI | 1851308860 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: CA A87777) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A87777) |
| 207VH0002X Obstetrics & Gynecology, Hospice and Palliative Medicine (Licence: CA A87777) | |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2024-04-26 |