NPI | 1316987670 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX Q9906) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA07463800) |
Enumeration Date | 2006-06-07 |
Last Update Date | 2024-04-27 |