NPI | 1336189414 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 042055) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WY TL#1399) |
207V00000X Obstetrics & Gynecology (Licence: OH 35C.001300) | |
207V00000X Obstetrics & Gynecology (Licence: TX P8480) | |
Enumeration Date | 2006-06-07 |
Last Update Date | 2024-05-20 |