| NPI | 1346339496 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: UT 8984876-1204) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 46699) |
| 207V00000X Obstetrics & Gynecology (Licence: HI DOS994) | |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2023-04-20 |