| NPI | 1871751867 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: SD 8518) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH training) |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2013-12-19 |