| NPI | 1083783823 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: ID M-6628) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: UT 6388670-1205) |
| 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: ID M6628) | |
| 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: UT 6388670-1205) | |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2014-09-09 |