| NPI | 1275982720 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: TX T8773) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD61042191) |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: WA MD61042191) | |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2024-11-04 |