NPI | 1750543955 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: UT 11060885-1205) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AZ 70819) |
Enumeration Date | 2008-06-28 |
Last Update Date | 2024-04-17 |