NPI | 1861496770 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX M6087) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: LA 024745) |
Enumeration Date | 2005-06-08 |
Last Update Date | 2021-06-23 |