| NPI | 1023124385 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX N4515) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: TX N4515) |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: TX N4515) | |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2023-03-24 |