NPI | 1487968541 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA C157619) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX P8492) |
Enumeration Date | 2010-08-01 |
Last Update Date | 2022-06-21 |