NPI | 1598736829 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX J6274) |
Additional Taxonomies | 207VC0200X Obstetrics & Gynecology, Critical Care Medicine (Licence: TX J6274) |
207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: TX J6274) | |
207VG0400X Obstetrics & Gynecology, Gynecology (Licence: TX j6274) | |
207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: TX J6274) | |
207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: TX J6274) | |
207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: TX j6274) | |
2471B0102X Radiologic Technologist, Bone Densitometry (Licence: TX J6274) | |
2471S1302X Radiologic Technologist, Sonography (Licence: TX J6274) | |
Enumeration Date | 2006-01-26 |
Last Update Date | 2013-05-20 |