| NPI | 1487975918 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: IA MD-41846) |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2021-02-12 |