NPI | 1881829315 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: VA 0101279021) |
Additional Taxonomies | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: TX P6070) |
207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: TX P6070) | |
Enumeration Date | 2009-05-28 |
Last Update Date | 2024-03-27 |