| NPI | 1356672794 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: MI EMC0002741) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NH 18596) |
| 207V00000X Obstetrics & Gynecology (Licence: MI EMC0002741) | |
| Enumeration Date | 2010-01-25 |
| Last Update Date | 2023-08-10 |