| NPI | 1528005006 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: TX 48370) | 
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX 48370) | 
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: MI 4301083590) | |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: TN 43518) | |
| Enumeration Date | 2006-06-01 | 
| Last Update Date | 2024-10-15 |