NPI | 1295062347 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX p6826) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WI 21158) |
Enumeration Date | 2009-11-11 |
Last Update Date | 2021-12-08 |