| NPI | 1043316912 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology Female Pelvic Medicine and Reconstructive Surgery (Licence: DE C2-0008063) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MB07325600) |
| 207VG0400X Obstetrics & Gynecology Gynecology (Licence: DE C2-0008063) | |
| 2088F0040X Urology Female Pelvic Medicine and Reconstructive Surgery (Licence: DE C2-0008063) | |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2017-05-30 |