NPI | 1215195144 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: OH 34.010049) |
Enumeration Date | 2008-05-28 |
Last Update Date | 2021-10-28 |