| NPI | 1396061651 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: CA A118687) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A118687) |
| Enumeration Date | 2010-04-12 |
| Last Update Date | 2022-10-05 |