NPI | 1568489169 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: TX J3817) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX J3817) |
Enumeration Date | 2006-07-17 |
Last Update Date | 2021-12-01 |