NPI | 1942234554 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: TX E 4598) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX E4598) |
207VG0400X Obstetrics & Gynecology, Gynecology (Licence: TX E 4598) | |
Enumeration Date | 2006-07-10 |
Last Update Date | 2017-09-15 |