NPI | 1407836018 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: TX S0447) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX S0447) |
207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: VA 0101058284) | |
Enumeration Date | 2006-01-19 |
Last Update Date | 2022-06-28 |