| NPI | 1063419638 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: MO R3H70) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO R3H70) |
| 207V00000X Obstetrics & Gynecology (Licence: TX G2340) | |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: TX G2340) | |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: IA MD-41562) | |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2019-11-18 |