NPI | 1689780777 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TN 3743) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AR E-11084) |
207V00000X Obstetrics & Gynecology (Licence: TX K9236) | |
207V00000X Obstetrics & Gynecology (Licence: FL os16017) | |
Enumeration Date | 2006-08-22 |
Last Update Date | 2022-11-01 |