NPI | 1235524752 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Female Pelvic Medicine and Reconstructive Surgery (Licence: MA 294349) |
Enumeration Date | 2015-04-01 |
Last Update Date | 2023-08-09 |