| NPI | 1073560199 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: TX L2728) |
| Additional Taxonomies | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: WA MD70097761) |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: WA BV2407674) | |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2026-05-13 |