| NPI | 1518093673 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Female Pelvic Medicine and Reconstructive Surgery (Licence: GA 045300) |
| Enumeration Date | 2007-02-25 |
| Last Update Date | 2017-10-24 |