NPI | 1730181462 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AK 3291) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX H6545) |
Enumeration Date | 2005-08-12 |
Last Update Date | 2010-12-08 |