| NPI | 1477521110 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Female Pelvic Medicine and Reconstructive Surgery (Licence: VA 0101259241) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OK 22716) |
| 207V00000X Obstetrics & Gynecology (Licence: VA 0101259241) | |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2021-06-30 |