| NPI | 1447215751 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: UT 346663-1205) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: UT 346663-1205) |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: TX M7843) | |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2026-04-24 |