| NPI | 1043577448 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: WI 81662) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 283330) |
| 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: IN 02005887A) | |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2024-11-08 |