| NPI | 1144201567 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TN 27669) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: LA 021650) |
| 207V00000X Obstetrics & Gynecology (Licence: TX J5685) | |
| Enumeration Date | 2005-11-11 |
| Last Update Date | 2022-08-29 |