| NPI | 1891081253 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Female Pelvic Medicine and Reconstructive Surgery (Licence: CA A132575) |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2020-01-02 |