| NPI | 1598736829 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX J6274) |
| Additional Taxonomies | 207VC0200X Obstetrics & Gynecology, Critical Care Medicine (Licence: TX J6274) |
| 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: TX J6274) | |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: TX j6274) | |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: TX J6274) | |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: TX J6274) | |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: TX j6274) | |
| 2471B0102X Radiologic Technologist, Bone Densitometry (Licence: TX J6274) | |
| 2471S1302X Radiologic Technologist, Sonography (Licence: TX J6274) | |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2013-05-20 |