| NPI | 1962412023 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2088F0040X Urology, Female Pelvic Medicine and Reconstructive Surgery (Licence: IA 40564) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MD D0017688) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: IA 40564) | |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2012-09-14 |