NPI | 1346202579 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX G0817) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AR C5231) |
Enumeration Date | 2006-04-04 |
Last Update Date | 2017-01-02 |