| NPI | 1023423779 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX Q9430) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A130838) |
| Enumeration Date | 2014-06-20 |
| Last Update Date | 2016-12-21 |