NPI | 1255516423 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX F-4396) |
Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: TX F4396) |
Enumeration Date | 2008-01-07 |
Last Update Date | 2014-11-11 |