| NPI | 1295814390 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: SC 38652) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TN MD019496) |
| 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: SC 38652) | |
| 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: TN MD19496) | |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: SC 38652) | |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2020-11-16 |