NPI | 1376776138 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX Q1193) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 254653) |
Enumeration Date | 2009-08-27 |
Last Update Date | 2024-07-29 |