| NPI | 1396704078 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: CA G75922) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA G75922) |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2014-05-19 |