| NPI | 1265607881 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX T4909) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OK 33217) |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2024-07-26 |