NPI | 1205139284 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Female Pelvic Medicine and Reconstructive Surgery (Licence: NY 261795) |
Enumeration Date | 2010-12-13 |
Last Update Date | 2017-01-10 |