| NPI | 1609077668 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: CO DR.0050398) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2003015427) |
| 207V00000X Obstetrics & Gynecology (Licence: CO DR.0050398) | |
| 207V00000X Obstetrics & Gynecology (Licence: TX P2013) | |
| 207V00000X Obstetrics & Gynecology (Licence: MT 11475) | |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2018-03-26 |