NPI | 1316033483 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: FL me149741) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA07842700) |
207V00000X Obstetrics & Gynecology (Licence: ME 016585) | |
207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: NJ 25MA07842700) | |
Enumeration Date | 2006-10-05 |
Last Update Date | 2021-07-26 |