| NPI | 1548278245 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: FL ME111294) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MN 29481) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: FL ME111294) | |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2022-12-05 |