| NPI | 1225050552 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2088F0040X Urology, Female Pelvic Medicine and Reconstructive Surgery (Licence: MI 4301049458) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301049458) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2022-08-04 |