| NPI | 1093990392 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: TX Q9344) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301079311) |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: TX 000000) | |
| Enumeration Date | 2008-01-04 |
| Last Update Date | 2022-09-22 |