NPI | 1265495337 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: TX Q1060) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SC 81621) |
207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: TN 3445) | |
207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: IN 02004127A) | |
Enumeration Date | 2006-04-10 |
Last Update Date | 2024-10-01 |