| NPI | 1831398700 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2088F0040X Urology, Urogynecology and Reconstructive Pelvic Surgery (Licence: CA A97265) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD00049047) |
| 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: CA A97265) | |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2021-12-03 |