NPI | 1023195310 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OR MD176328) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: LA 204792) |
207V00000X Obstetrics & Gynecology (Licence: TX P1813) | |
207V00000X Obstetrics & Gynecology (Licence: IN 01074849A) | |
Enumeration Date | 2006-11-01 |
Last Update Date | 2023-12-20 |