| NPI | 1295757631 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: MI 4301076635) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2022-08-28 |