| NPI | 1396930376 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX Q8114) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD431796) |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2024-04-26 |