NPI | 1265967442 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: UT 12208312-1205) |
Additional Taxonomies | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: UT 12208312-1205) |
Enumeration Date | 2017-04-26 |
Last Update Date | 2021-10-16 |