| NPI | 1427386804 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: TX N6209) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX bp10031004) |
| 207V00000X Obstetrics & Gynecology (Licence: MS 22022) | |
| Enumeration Date | 2009-11-24 |
| Last Update Date | 2015-07-20 |