NPI | 1891788428 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207VH0002X Obstetrics & Gynecology, Hospice and Palliative Medicine (Licence: AR E-13080) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX H7322) |
Enumeration Date | 2005-08-30 |
Last Update Date | 2023-09-26 |