| NPI | 1629052253 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology Female Pelvic Medicine and Reconstructive Surgery (Licence: ME MD12385) |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2025-04-02 |