| NPI | 1497003917 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: TX R4316) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX BP10043761) |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: TX BP-0057964) | |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2019-07-24 |