| NPI | 1942249388 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: CA G67092) |
| Additional Taxonomies | 207VC0200X Obstetrics & Gynecology, Critical Care Medicine (Licence: CA G67092) |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: CA G67092) | |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2018-08-10 |