| NPI | 1568409894 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: KY 60362) |
| Additional Taxonomies | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: TX P0085) |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: TN 40772) | |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2025-04-09 |