NPI | 1629047626 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Female Pelvic Medicine and Reconstructive Surgery (Licence: MO 112659) |
Enumeration Date | 2006-03-14 |
Last Update Date | 2020-05-05 |