| NPI | 1396150850 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: HI MD-22259) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX R7739) |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2022-04-15 |