| NPI | 1467696963 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: CA C175206) |
| Additional Taxonomies | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: TX R4891) |
| 207V00000X Obstetrics & Gynecology (Licence: TX BP1-0034783) | |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2022-01-12 |