NPI | 1134214802 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207VF0040X Obstetrics & Gynecology Female Pelvic Medicine and Reconstructive Surgery (Licence: FL ME11507) |
Enumeration Date | 2006-10-04 |
Last Update Date | 2022-12-19 |