| NPI | 1275787996 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VH0002X Obstetrics & Gynecology Hospice and Palliative Medicine (Licence: UT 159391-1205, 8905) |
| Additional Taxonomies | 207VH0002X Obstetrics & Gynecology Hospice and Palliative Medicine (Licence: UT 159391-1265,8905) |
| Enumeration Date | 2008-11-07 |
| Last Update Date | 2008-11-07 |