NPI | 1598108243 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: MN 65676) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX P5156) |
207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: TX P5156) | |
Enumeration Date | 2013-04-12 |
Last Update Date | 2024-07-05 |