| NPI | 1538184791 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: DE C10011078) |
| Additional Taxonomies | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: PA MD429235) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: PA MD429235) | |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: DE C10011078) | |
| 2088F0040X Urology, Urogynecology and Reconstructive Pelvic Surgery (Licence: DE C1-0011078) | |
| 2088F0040X Urology, Urogynecology and Reconstructive Pelvic Surgery (Licence: PA MD429235) | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2017-05-30 |