NPI | 1780788067 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: TX M2207) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX M2207) |
Enumeration Date | 2006-09-08 |
Last Update Date | 2017-04-19 |