| NPI | 1336143031 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: GA 91850) |
| Additional Taxonomies | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: IN 01068201A) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: KY 30391) | |
| 207V00000X Obstetrics & Gynecology (Licence: IN 01068201A) | |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2022-08-11 |