| NPI | 1912268814 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: IA DO-05007) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NE 1076) |
| 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: IN 02006742A) | |
| 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: KY 05352) | |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2023-05-10 |