NPI | 1073699500 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: LA MD.023185) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX L6568) |
Enumeration Date | 2006-10-27 |
Last Update Date | 2024-08-29 |