| NPI | 1134569148 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: WA MD61089889) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: TX BP1-0046306) |
| 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: TX BP30065709) | |
| Enumeration Date | 2013-07-05 |
| Last Update Date | 2021-08-30 |