| NPI | 1306808910 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AR E-15045) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX J1516) |
| 207V00000X Obstetrics & Gynecology (Licence: CO 52801) | |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2022-06-29 |