| NPI | 1346233848 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: TX J2778) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX J2778) |
| 207V00000X Obstetrics & Gynecology (Licence: TX J2778) | |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2024-01-24 |