| NPI | 1447237763 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AL 43830) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX M1955) |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2022-03-22 |