| NPI | 1174543698 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: TX P3528) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX P3528) |
| 207V00000X Obstetrics & Gynecology (Licence: TX P3528) | |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2017-09-13 |