NPI | 1629064670 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Female Pelvic Medicine and Reconstructive Surgery (Licence: FL ME90561) |
Enumeration Date | 2005-09-26 |
Last Update Date | 2023-06-23 |