NPI | 1790734366 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: NV 7698) |
Additional Taxonomies | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: ID M-7577) |
207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: CA g72373) | |
207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: UT 6333431-1205) | |
Enumeration Date | 2006-05-09 |
Last Update Date | 2019-05-06 |