NPI | 1508836396 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: TX J6469) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX J6469) |
Enumeration Date | 2006-01-24 |
Last Update Date | 2013-08-27 |