NPI | 1790001360 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207VF0040X Obstetrics & Gynecology Female Pelvic Medicine and Reconstructive Surgery (Licence: TX Q1005) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX Q1005) |
Enumeration Date | 2010-04-07 |
Last Update Date | 2020-03-11 |