NPI | 1457533101 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX Q7180) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MS 19933) |
Enumeration Date | 2007-12-04 |
Last Update Date | 2016-03-31 |