| NPI | 1912026600 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: OR MD201361) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OR MD201361) |
| 207V00000X Obstetrics & Gynecology (Licence: VA 0116016828) | |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: ME MD17420) | |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2021-03-09 |