An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
| Specialty | Taxonomy Code | |
|---|---|---|
| * | Gynecologic Oncology | 207VX0201X |
| Student in an Organized Health Care Education/Training Program | 390200000X | |
| Urogynecology and Reconstructive Pelvic Surgery | 207VF0040X |
* Indicates primary specialty
| NPI Number | 1023472578 |
| Credentials | DO (Doctor of Osteopathic) |
| Entity | Individual |
| Enumeration date | 04/11/2016 |
| Last updated | 03/12/2025 - More than a year ago |
| Sole proprietor1 | No |
| Identifiers |
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| Hospital affiliation | n/a |
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.
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