| NPI | 1316044605 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: LA 000126) |
| Additional Taxonomies | 207VF0040X Obstetrics & Gynecology, Female Pelvic Medicine and Reconstructive Surgery (Licence: PA OS016817) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: FL OS9903) | |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: LA DO.000126) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2022-11-02 |