| NPI | 1548226921 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: TX F9061) |
| Additional Taxonomies | 207SG0201X Medical Genetics Clinical Genetics (M.D.) (Licence: TX F9061) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2007-07-08 |