| NPI | 1225318512 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: TX Q6908) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX Q6908) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX Q6908) | |
| Enumeration Date | 2011-08-18 |
| Last Update Date | 2023-12-12 |