| NPI | 1780749820 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: SC 88740) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT186681) |
| 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: VA 0101251665) | |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: AL 29368) | |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: VA 0101251665) | |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2023-05-11 |