| NPI | 1255326633 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: TX Q2648) |
| Additional Taxonomies | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: UT 172793-1205) |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2024-08-28 |