| NPI | 1790722999 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: MS 13911) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AL 00023691) |
| 207V00000X Obstetrics & Gynecology (Licence: MS 13911) | |
| 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: AL 00023691) | |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: AL 00023691) | |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MS 13911) | |
| 208800000X Urology (Licence: MS 13911) | |
| 208800000X Urology (Licence: AL 00023691) | |
| 2088F0040X Urology, Urogynecology and Reconstructive Pelvic Surgery (Licence: AL 00023691) | |
| 2088F0040X Urology, Urogynecology and Reconstructive Pelvic Surgery (Licence: MS 13911) | |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2022-11-10 |