NPI | 1215227566 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: TX Q4196) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX Q4196) |
Enumeration Date | 2011-04-07 |
Last Update Date | 2019-06-21 |