| NPI | 1518931161 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 93-00391) |
| Additional Taxonomies | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: NC 93-00391) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NC 9300391) | |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2022-02-10 |