| NPI | 1154310688 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology Obstetrics (Licence: MO 2021014176) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX Q0135) |
| 207V00000X Obstetrics & Gynecology (Licence: AZ 37932) | |
| 207V00000X Obstetrics & Gynecology (Licence: IN 01059367A) | |
| 207V00000X Obstetrics & Gynecology (Licence: VA 0101247116) | |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2024-08-09 |