| NPI | 1598892309 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX F1343) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MN 57510) |
| 207V00000X Obstetrics & Gynecology (Licence: IL 036129471) | |
| 207V00000X Obstetrics & Gynecology (Licence: NM MD2011-0497) | |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: TX F1343) | |
| 207V00000X Obstetrics & Gynecology (Licence: NC 9800009) | |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2023-08-09 |