| NPI | 1043214935 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: UT 7399412-1205) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NV 17073) |
| 207V00000X Obstetrics & Gynecology (Licence: CA C50108) | |
| 207V00000X Obstetrics & Gynecology (Licence: KS 0429296) | |
| 207V00000X Obstetrics & Gynecology (Licence: UT 73994128017) | |
| Enumeration Date | 2005-06-08 |
| Last Update Date | 2022-06-02 |