| NPI | 1699740027 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Female Pelvic Medicine and Reconstructive Surgery (Licence: SC 81619) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: SC 81619) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: GA 028460) | |
| 207VF0040X Obstetrics & Gynecology, Female Pelvic Medicine and Reconstructive Surgery (Licence: GA 28460) | |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: GA 28460) | |
| Enumeration Date | 2006-02-20 |
| Last Update Date | 2022-04-18 |