NPI | 1396930376 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX Q8114) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD431796) |
Enumeration Date | 2007-09-12 |
Last Update Date | 2024-04-26 |