| NPI | 1184618753 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: TX J2928) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX J2928) |
| 207V00000X Obstetrics & Gynecology (Licence: GA 84221) | |
| 207V00000X Obstetrics & Gynecology (Licence: CA C52836) | |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: GA 84221) | |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: CA C52836) | |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2024-04-19 |