| NPI | 1639148331 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Female Pelvic Medicine and Reconstructive Surgery (Licence: FL OS12968) |
| Additional Taxonomies | 207VF0040X Obstetrics & Gynecology, Female Pelvic Medicine and Reconstructive Surgery (Licence: ME 1014) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: ME 1014) | |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2023-07-20 |