| NPI | 1356737027 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: CO DR.0068945) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX BP10052491) |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2022-08-02 |