NPI | 1578777181 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX M7539) |
Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: TX M7539) |
Enumeration Date | 2007-05-10 |
Last Update Date | 2020-05-14 |