| NPI | 1598150153 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: FL ME154438) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL TRN25785) |
| 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: FL TRN25785) | |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2023-03-30 |