| NPI | 1457349623 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: TX N8583) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CO 41798) |
| 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: MS 20153) | |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2023-03-07 |