NPI | 1639193923 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: FL ME60360) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME60360) |
Enumeration Date | 2006-07-27 |
Last Update Date | 2021-09-29 |