| NPI | 1316289440 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Female Pelvic Medicine and Reconstructive Surgery (Licence: MA 269596) |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2021-05-24 |