NPI | 1477908440 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: TX S5482) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX S5482) |
Enumeration Date | 2016-04-27 |
Last Update Date | 2023-08-18 |