| NPI | 1871622936 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: MD D0032793) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MD D0032793) |
| 207V00000X Obstetrics & Gynecology (Licence: DC MD15565) | |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: DC MD15565) | |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2011-05-24 |