| NPI | 1477519775 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: LA MD.202055) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX L9202) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2011-03-21 |