| NPI | 1649391954 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: CA 10472A) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA 20A10472) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: CA 10472A) | |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2016-06-02 |