| NPI | 1184649261 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Female Pelvic Medicine and Reconstructive Surgery (Licence: NC 9801084) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 9801084) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2022-10-05 |