| NPI | 1114074101 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Female Pelvic Medicine and Reconstructive Surgery (Licence: FL ME57518) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2019-03-28 |