NPI | 1043300114 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Female Pelvic Medicine and Reconstructive Surgery (Licence: CA A38218) |
Enumeration Date | 2006-10-12 |
Last Update Date | 2022-07-21 |