| NPI | 1669452983 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: FL ME50821) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: FL ME50821) |
| 208800000X Urology (Licence: FL ME50821) | |
| 2088F0040X Urology, Female Pelvic Medicine and Reconstructive Surgery (Licence: FL ME50821) | |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2021-11-04 |