NPI | 1780603191 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: NY 152716-1) |
Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NY 152716-1) |
Enumeration Date | 2006-07-18 |
Last Update Date | 2013-10-15 |