NPI | 1477512119 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: TX G4093) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX G4093) |
Enumeration Date | 2006-03-21 |
Last Update Date | 2021-10-20 |