| NPI | 1285079483 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: TX R1422) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX R1422) |
| 207V00000X Obstetrics & Gynecology (Licence: TX BP10046309) | |
| Enumeration Date | 2013-05-02 |
| Last Update Date | 2020-06-16 |