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