NPI | 1801976378 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: NY 210005) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 210005) |
Enumeration Date | 2006-10-17 |
Last Update Date | 2021-02-05 |