| NPI | 1457534729 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OK 27429) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX BP10023278) |
| Enumeration Date | 2007-12-10 |
| Last Update Date | 2023-07-12 |