NPI | 1073904256 |
---|---|
Former Name | ANDY SCHROEDER |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 036150639) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 036.150639) |
Enumeration Date | 2015-02-10 |
Last Update Date | 2021-08-09 |