| 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 |