| NPI | 1427410059 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: UT 13385943-1204) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NE 1735) |
| 208D00000X General Practice (Licence: NE 1735) | |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2024-06-11 |