NPI | 1306808910 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AR E-15045) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX J1516) |
207V00000X Obstetrics & Gynecology (Licence: CO 52801) | |
Enumeration Date | 2006-04-06 |
Last Update Date | 2022-06-29 |