NPI | 1447607387 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX S4072) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX BP10057675) |
Enumeration Date | 2016-05-20 |
Last Update Date | 2024-08-28 |