| NPI | 1144295866 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TX H1586) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CO DR.0057036) |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2026-07-06 |