| NPI | 1497134985 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OR DO214237) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA OS020009) |
| 207V00000X Obstetrics & Gynecology (Licence: PA OT016443) | |
| 207V00000X Obstetrics & Gynecology (Licence: NH 20421) | |
| 207VF0040X Obstetrics & Gynecology, Female Pelvic Medicine and Reconstructive Surgery (Licence: NH RT-3608) | |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2023-02-09 |