| NPI | 1619974318 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: CO 39414) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CO 39414) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: CO DR.0039414) | |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2019-09-27 |