NPI | 1417995465 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Female Pelvic Medicine and Reconstructive Surgery (Licence: FL ME95947) |
Enumeration Date | 2006-06-03 |
Last Update Date | 2016-05-09 |