| NPI | 1437153400 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX E1133) |
| Additional Taxonomies | 207VB0002X Obstetrics & Gynecology, Bariatric Medicine (Licence: TX E1133) |
| Enumeration Date | 2005-06-08 |
| Last Update Date | 2020-01-23 |