NPI | 1427049311 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: NJ 25MB07617800) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA OS007454L) |
207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: PA OS007454L) | |
Enumeration Date | 2005-10-31 |
Last Update Date | 2023-02-10 |