NPI | 1982613659 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Female Pelvic Medicine and Reconstructive Surgery (Licence: CT 040272) |
Enumeration Date | 2006-08-05 |
Last Update Date | 2018-09-07 |