NPI | 1912985193 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME142425) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX L6949) |
Enumeration Date | 2006-01-06 |
Last Update Date | 2025-03-14 |