| NPI | 1245313535 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2088F0040X Urology, Female Pelvic Medicine and Reconstructive Surgery (Licence: OH 35.053449) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 35.053449) |
| 2088F0040X Urology, Female Pelvic Medicine and Reconstructive Surgery (Licence: KY 23528) | |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2022-03-09 |