NPI | 1659865913 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A180304) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX BP10063412) |
Enumeration Date | 2018-06-20 |
Last Update Date | 2024-07-29 |