| NPI | 1073516464 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX E8878) |
| Additional Taxonomies | 207VE0102X Obstetrics & Gynecology Reproductive Endocrinology (Licence: TX E8878) |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2007-07-09 |