| NPI | 1184642274 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: TX L1099) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX L1099) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2012-08-17 |