| NPI | 1609842053 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: UT 12691562-1205) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX K9548) |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: MT 52364) | |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: TX K9548) | |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: AZ 64996) | |
| Enumeration Date | 2006-02-26 |
| Last Update Date | 2023-03-15 |