| NPI | 1588784193 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX L3696) |
| Additional Taxonomies | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: VA 0101057964) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2018-08-30 |