NPI | 1639160088 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: DE C1-0024788) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX L6357) |
Enumeration Date | 2005-11-03 |
Last Update Date | 2023-04-18 |