NPI | 1629272281 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX N4402) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX BP1-0022200) |
Enumeration Date | 2007-06-14 |
Last Update Date | 2024-08-06 |