NPI | 1003858952 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: CT 067319) |
Additional Taxonomies | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: TX Q9542) |
207V00000X Obstetrics & Gynecology (Licence: TN MD34869) | |
207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: TN 34869) | |
Enumeration Date | 2006-06-12 |
Last Update Date | 2021-04-05 |