NPI | 1902867187 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OR DO198325) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WY TL6214) |
207V00000X Obstetrics & Gynecology (Licence: TX K1389) | |
Enumeration Date | 2006-03-29 |
Last Update Date | 2021-02-19 |