| NPI | 1366678468 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX P7186) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX BP1-0034782) |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2022-06-03 |