NPI | 1073776977 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: TX Q0908) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 036) |
207V00000X Obstetrics & Gynecology (Licence: NY 265146) | |
207V00000X Obstetrics & Gynecology (Licence: TX Q0908) | |
Enumeration Date | 2008-07-10 |
Last Update Date | 2023-11-28 |