| NPI | 1699740027 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: AL MD.48984) |
| Enumeration Date | 2006-02-20 |
| Last Update Date | 2024-06-12 |