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 |