| NPI | 1447446265 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: MN 68354) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MN 68354) |
| 207V00000X Obstetrics & Gynecology (Licence: TX m6264) | |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: TX M6264) | |
| Enumeration Date | 2007-09-16 |
| Last Update Date | 2021-01-06 |