NPI | 1154390714 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MD d0045495) |
Additional Taxonomies | 2088F0040X Urology, Urogynecology and Reconstructive Pelvic Surgery (Licence: MD D0045495) |
Enumeration Date | 2006-03-16 |
Last Update Date | 2014-02-03 |