NPI | 1457888349 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: UT 12803897-1205) |
Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: AZ 63518) |
Enumeration Date | 2017-05-22 |
Last Update Date | 2022-08-11 |