NPI | 1821108200 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KY 45249) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: GA 043048) |
207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: KY 45249) | |
Enumeration Date | 2006-08-30 |
Last Update Date | 2012-08-06 |