NPI | 1780918185 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX Q2356) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OK 27231) |
Enumeration Date | 2009-10-01 |
Last Update Date | 2022-09-01 |