| NPI | 1144689027 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2088F0040X Urology, Urogynecology and Reconstructive Pelvic Surgery (Licence: CA A140799) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A140799) |
| Enumeration Date | 2016-02-19 |
| Last Update Date | 2023-06-13 |