| NPI | 1477533800 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX H0919) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TX H0919) |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2023-07-28 |