NPI | 1003858564 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX K0830) |
Additional Taxonomies | 174400000X Specialist (Licence: TX K0830) |
Enumeration Date | 2006-06-11 |
Last Update Date | 2018-04-04 |