| NPI | 1306387667 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: UT 12208314-1205) |
| Additional Taxonomies | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: UT 12208314-1205) |
| Enumeration Date | 2017-03-19 |
| Last Update Date | 2021-11-01 |