| NPI | 1073581724 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: OH OH6943C) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: OH 34006843) |
| 208800000X Urology (Licence: OH 34006843) | |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2024-05-10 |