| NPI | 1841225133 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Female Pelvic Medicine and Reconstructive Surgery (Licence: DC MD039970) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A86941) |
| 207VF0040X Obstetrics & Gynecology, Female Pelvic Medicine and Reconstructive Surgery (Licence: MD D88462) | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2020-10-06 |