NPI | 1467783795 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: TX P5842) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX P5842) |
Enumeration Date | 2010-01-27 |
Last Update Date | 2018-02-09 |