| NPI | 1922441724 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MN 62870) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX U2800) |
| 207V00000X Obstetrics & Gynecology (Licence: MN .) | |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2024-01-31 |