| NPI | 1023351350 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: MN 71628) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX R3282) |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: MN 000) | |
| Enumeration Date | 2013-04-04 |
| Last Update Date | 2022-09-01 |