| NPI | 1689084352 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Female Pelvic Medicine and Reconstructive Surgery (Licence: OK 39737) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TN 64097) |
| 207VF0040X Obstetrics & Gynecology, Female Pelvic Medicine and Reconstructive Surgery (Licence: TN F10744169) | |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2022-10-24 |