| NPI | 1548357395 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology Female Pelvic Medicine and Reconstructive Surgery (Licence: MI 4301072167) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301072167) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2018-12-28 |