| NPI | 1992734792 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Female Pelvic Medicine and Reconstructive Surgery (Licence: TN MD49640) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: TN MD49640) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: PA MD438243) | |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: GA 39992) | |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2022-03-23 |