| NPI | 1598108243 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: MN 65676) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX P5156) |
| 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: TX P5156) | |
| Enumeration Date | 2013-04-12 |
| Last Update Date | 2020-08-12 |