| NPI | 1124012125 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: PA MD451075) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IN 01055287A) |
| 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: IN 01055287A) | |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2020-08-26 |