| NPI | 1073776977 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: TX Q0908) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 036) |
| 207V00000X Obstetrics & Gynecology (Licence: NY 265146) | |
| 207V00000X Obstetrics & Gynecology (Licence: TX Q0908) | |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2023-11-28 |