| NPI | 1295053320 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OK 32085) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX BP10037141) |
| Enumeration Date | 2010-05-13 |
| Last Update Date | 2022-11-15 |