| NPI | 1881665495 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: CA A112592) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: DC MD035523) |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: MI 4301078009) | |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2021-12-06 |