NPI | 1083144778 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OK 38003) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX S8260) |
207V00000X Obstetrics & Gynecology (Licence: TX BP10060908) | |
Enumeration Date | 2017-06-14 |
Last Update Date | 2022-07-21 |